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INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
NPI 1811689870
Family Medicine in Twin Falls, ID

Active since May 25, 2023CLIA 13D2295432 · Waiver
512 POLE LINE RD STE 2, TWIN FALLS, ID 83301(208) 735-3636(208) 735-3637 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, May 25, 2023 (2 updates tracked since 2023).

About Innovative Family Medicine Of Idaho Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC (NPI 1811689870) is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Aaron Brown, Member, as its authorized official.

NPPES Registry Identity

NPI1811689870
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
Location Address512 POLE LINE RD STE 2Twin Falls, ID 83301-6367
Mailing AddressPo Box 44953Boise, ID 83711-0953
Phone(208) 735-3636
Fax(208) 735-3637
Organization SubpartNo
Authorized OfficialAaron BrownMember · (208) 961-0420
Enumeration DateMay 25, 2023
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1811689870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
512 POLE LINE RD STE 2, Twin Falls, ID 83301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2295432

Innovative Family Medicine Of Idaho PLLC · Twin Falls, ID
Active · expires Dec 11, 2027
CLIA Number13D2295432
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAaron Brown
Laboratory Phone(208) 735-3636
Laboratory LocationInnovative Family Medicine Of Idaho PLLC512 Pole Line Rd Ste 2, Twin Falls, ID 83301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN MURETISCH DO
Family Medicine
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301
Twin Falls County (208) 735-3636
MARC ALLAN DO
Family Medicine
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301
Twin Falls County (208) 735-3636
AARON B BROWN MD
Family Medicine
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301
Twin Falls County (208) 254-0047
JARED HENDERSON MD
Family Medicine
512 POLE LINE RD STE 2
TWIN FALLS, ID 83301
Twin Falls County (208) 735-3636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Family Medicine Of Idaho PLLC's NPI number?

The NPI number for Innovative Family Medicine Of Idaho PLLC is 1811689870. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Innovative Family Medicine Of Idaho PLLC located?

Innovative Family Medicine Of Idaho PLLC is located at 512 Pole Line Rd Ste 2, Twin Falls, ID 83301. The listed phone number is (208) 735-3636.

What is Innovative Family Medicine Of Idaho PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Innovative Family Medicine Of Idaho PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2295432) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Family Medicine Of Idaho PLLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.